NPI | 1205518370 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
343900000X Non-emergency Medical Transport (VAN) | |
374U00000X Home Health Aide | |
251G00000X Hospice Care, Community Based | |
Enumeration Date | 2023-08-07 |
Last Update Date | 2023-08-07 |